Fazzini, Robert

Fazzini, Robert is an sole proprietor health care provider with primary practice located at 60 South St , Morristown NJ 07960-9012. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fazzini, Robert can be contacted via phone (973) 538-1023.

Contact Information

Primary practice address
60 South St Morristown NJ 07960-9012
Phone: (973) 538-1023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI02086700 New Jersey

Profile Details

NPI number 1962771923
LBN Legal business name Fazzini, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2011
Last updated Dec 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962771923 NPPES
New Jersey MEDICAID 5642205

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